Crohn Disease Mimicking Tongue Base Neoplasia

A 67-year-old man with long-standing Crohn disease, diagnosed in 1996, presented with progressive dysphagia to solid foods and pain in the right submandibular region. His medical history included ileal disease (Rutgeerts index i2), anal canal stenosis requiring endoscopic dilations, and subsequent ileocecal resection with mechanical anastomosis in 2016. At the time of presentation, he was receiving corticosteroids and vedolizumab.